Social Consequences of Policy Toward Mental Illness

Arnhoff, Franklyn N.

doi:10.1126/science.1145195

Cited by 109 publications

(9 citation statements)

References 27 publications

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“…As Arnhoff (1975) has argued, the shift from hospital to community care of chronically disturbed psychiatric patients has incurred high social costs, especially to the families to which the patient is returned. Despite the growing awareness among mental health professionals that such programs are crucial not only to the future career of the patient but also to the integrity of his or her family, a review of the relevant literature reveals little attention to attempts to help families cope with the stresses caused by living with a disturbed relative.…”

Section: Discussionmentioning

confidence: 98%

The initiation and development of a group for relatives of patients with chronic emotional disorders

Kenney

Fitzgibbons

1981

Group

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This paper describes the initiation and development of an educa-The multidimensional role of other family members in the career of chronic mental patients has been studied and explored from a number of different positions. The identified patient has frequently been seen as the victim, deranged by the unintentional, but nevertheless pathological, influence of a so-called schizophrenic family. As sophistication increased, family members not only were viewed as agents of cause in precipitating the patient's initial break with reality, but were also assigned the additional stigma of responsibility for continuing to aggravate the patient's problems by their behavior

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Section: Discussionmentioning

confidence: 98%

The initiation and development of a group for relatives of patients with chronic emotional disorders

Kenney

Fitzgibbons

1981

Group

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“…A complementary hypothesis concerns social cost or community burden (Arnhoff, 1975). The idea is that releasing patients into the community and treating them there poses a burden on families, community services, and community members who now contend with the sometimes bizarre, suicidal, and disruptive behavior of patients.…”

Section: Socialmentioning

confidence: 99%

Psychiatric Deinstitutionalization: A Sociocultural Analysis

Estroff¹

1981

Journal of Social Issues

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This paper analyzes deinstitutionalization and community treatment of psychiatric patients from a sociocultural perspective, discusses the social values and processes of the movement, and presents an overview of the experience of patients in the community. It argues that, in sociocultural terms, deinstitutionalization of the most needy patients has failed. Economic, clinical, and social hypotheses about why these failures have occurred are presented. The analysis suggests that deinstitutionalization has failed in large part because it did not address the sociocultural reasons for institutionalization.

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“…Their number is unlikely to have been very large. Ex-patients with intact families willing to assume the burden of their care have also fared relatively well, though often their well-being has been purchased at the cost of placing serious, even intolerable burdens on the shoulders of their relatives; burdens which, in the long run, many of the latter understandably refuse to shoulder (Arnoff, 1975;Brown, Bone, Dalison & Wing, 1966;Davis, Dinitz, & Pasamanick, 1974;Wing & Brown, 1970;Wing, 1978).…”

Section: Deinstitutionalzration and Patient's Rightsmentioning

confidence: 99%